TUBERCULOSIS

A. Savvy Disease Tuberculosis is direct contagion that because of germ TB (Mycobacterium Tuberculosis), largely TB's germ attacks Paru, but gets also about another body organ. Tuberculosis's germ this germ bar shaped, having special character which is bates to acid on coloration, therefore is called too as Bacilli Of Acid Proof (BTA), TB's germ quick dies by direct the sun shines, but gets life last a few hours at dark and moist place. In germ body network this gets dormant , long time asleep up to few years. B. Classification TB Paru's classification is made bases clinic phenomena, bacteriology, radiology and previous cure history. This classification essential because constitutes one of determinant factor to establish therapy strategy. According to program Gerdunas P2TB TB Paru's classification is divided as follows: 1. TB Paru BTA is Positive with criterion: a. With or without clinic phenomena b. BTA is positive: microscopic positive 2 times, microscopic positive 1 time was contributed by breeding positive once or contributed by radiology positive 1 time. c. Radiology picture corresponds to TB Paru. 2. TB Paru BTA is Negative with criterion: a. Radiology clinic and picture phenomena corresponds to TB Paru active b. BTA is negative, negative breeding but radiology is positive. 3. TB Paru's ex with criterion: a. Bacterio

b. logy (microscopic and breeding) negative c. Clinic phenomena no or there is effect rest phenomena paru's abnormality. d. Radiology points out TB are not active lesion picture, pointing out unchanged photograph serial. e. There is OAT'S cure history that insecure (more backs up) C. Cause Of Tuberculosis paru is because of contagion mikrobacterium

tuberculosis's bacilli humanus's type, a sort germ which bar shaped with footage 1 4 / mm and thick 0,3 - 0,6 / mm. Largely germ comprise of fat acid (lipid). Lipid this is that make germ more bates to acid and more bate to chemical trouble and physical. D. Sign And Phenomena Phenomena that denotes patient to suffer Tuberculosis for example cough, breathing congested, malaise, chest ache, anorexia, not appetite, body weight go down, headache, muscle ache, nighttime sweat and anemia. Meanwhile its sign is on check shows face and skin descry to wan since anemia, scrawny observable body, if suspected by infiltrate rather extent therefore if at voices heard percussion dreary, if at auskultasi was heard by voice bronchial's breath, on breathing voice to be gotten affix as ronkhi wet, crude and highest sounding. E. Cure Patient gets mdicine everyday and be kept company direct to prevent its happening invulnerability to rifampisin. If while that intensive phase is given precisely, patient contaminates to become doesn't contaminate deep time frame 2 weeks. Largely TB BTA'S patient positive becomes negative (conversion) at the early intensive cure. Clamp down in momentous intensive phase to prevent its happening salving invulnerability.

ASSESSMENT

A. Questions to Ask Nurse Patient Nurse Patient Nurse Patient Nurse Patient Nurse Patient Nurse Patient : Do you frequent smoking? : Yes I do. : Do you drink alcohol? : No I dont. : Do you feel chest ache while cough? : Yes I do. : Have once you suffer allergy in advance? : Yes, i am allergy to dust. : What available family member that suffer from that equal to you? : Yes, my father also pain which same as mine. : How environmentally your place stays? : I stay by the side of high way.

B. Explaining 1. It is time for me to check your nose. 2. I just want to check your chest. 3. It is time for me to examine your jugular to see what available swelling or not. 4. I want to check your phlegm.

C. Instructions 1. Please lift carries the wind you are backward that I can check your nose. 2. Please undresses you, I will check your chest. 3. Please cants your head a side that makes easy me to check your jugular. 4. Please inserts your phlegm at this place on morning broils you build get a sleep.